Name
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First Name
Last Name
Email
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Instagram handle (if not on instagram, type N/A)
What state, and time zone, do you live in?
How did you find me?
What prompted you to reach out for help? What is the problem?
What are your current health and nutrition related goals? (please list in order of importance!)
What have been your biggest challenges or obstacles in achieving your goals?
Do you have any reservations about joining a nutrition coaching program? If so, please list them here!
On a scale from 1-10 (1 = not ready, 10 = ready to try anything that will get results!) how ready are you to change your daily eating and lifestyle habits in order to reach your goal?
Are you more interested in...
Group + 1:1 coaching
1:1 coaching
Either
Not sure
My level 1 price starts at $397. The Reverse Prediabetes Coaching Program is a high-touch, comprehensive coaching/educational program. After participating, clients feel confident in their nutrition strategy and their ability to improve insulin sensitivity so that they can regain control of their blood sugar, weight, symptoms of inflammation and confidence in their health journey. If we determine this program can help you reach your goals are you willing to consider making a financial investment in yourself at this time?
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Please provide your cell phone number in the box below. Once you've submitted your application you will be automatically directed to a second video that will share a more detailed overview of the features of my coaching program and how it all works! Also, within 1-2 business days, I will personally follow up via text message (or IG DMs) with follow-up questions, pricing options based on your coaching needs, and next steps for getting your healing journey started!
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